Low heart rate

[Clarkee73]

Hi has anyone had or got any issues with being like me at present in bradycardia resting heart rate of 55-58 recently had severe chest pains went to hospital sent home all tests done ECG bloods etc and nothing showing of concern but here's the thing I have heart heart failure cardiomyopathy and AF and have had it 5 years and so bit concerned as Im still getting niggling pains when pain killers start wearing off.

[Chinkoflight]

Hi Clarke,

My resting HR is typically 40 but can be slower at night. Because of this I'm not prescribed bisoprolol etc or have a PIP. This is subject to review.

5 years on from your health issues being detected (I looked at your backstory) and it's a reasonable time to seek a review starting with your GP.A lot can change in 5 years, you are getting older.

For me 8 years ago as a new patient in my GP practice I had a full health check and the health assistant taking my BP , HR and ECG trace picked up Bradycardia with ectopics albeit in sinus rhythm. News to me!! At the time she mentioned it to the nurse, who asked 'any other issues' , and dismissed it.

A year or so on, needing to see the GP I mentioned this as it had bugged me and whether things had moved on he referred me to Cardiology for full investigation, treadmill etc. Still no recommendations.

18 months ago paroxysmal stroke. Heart investigations, no change.

BUT guidance has changed and 8 months ago I was approached to have a LINQ ECG implant . 3 months later Afib detected. medication changed to anticoagulant immediately!

If only some of this had been in a different order, the stroke may not have happened.

I think the point is it's a journey your on and you have to stay proactive now and always checking with your primary care team or specialist health team that your symptoms are re-checked and your treatment adjusted accordingly.

I hope this helps.

[Silvertail]

The normal heart rate is supposed to be between 60 and 100, so yours is not far under the lower number. Hopefully you won't go lower than that. Mine gets in the 50s at times.

[Clarkee73 in reply to Silvertail]

I'm dropping to 55bpm of late at resting

[Silvertail in reply to Clarkee73]

Hi Clarkee73. I haven’t found that number to worry me at all. It’s not much of a difference. It will go down if you’re resting. In my case it would worry me if it was 50 or below.

[Clarkee73 in reply to Silvertail]

Thanks for replying and I appreciate what your saying. Thanks

[fishonabike]

have you been investigated for MicroVascular Disorder or Coronary Artery Spasm? These are both types of Ischaemia with No Obstructed Coronary Arteries (INOCA) and can cause angina (chest pain) at restcheck the information about these conditions, how to diagnose them and more on the websites of:

International Heart Spasm Alliance

INOCA International

[Milkfairy Heart Star]

Hello,

You can have symptoms of angina when the heart needs more blood than the heart muscle can supply.

This mis match of supply and demand can lead to a lack of blood supply to the heart, myocardial ischaemia.

There are several causes including heart failure and atrial fibrillation.

Are you taking beta blockers?

This medication can lower your heart rate.

I suggest you discuss this issue with your GP, Cardiologist or Heart nurse.

You may need a review of your medication and further investigations.

Another option is contacting the BHF helpline and speak to one of the cardiac nurses.

bhf.org.uk/informationsuppo...

I live with a type of ischaemia non obstructive coronary arteries INOCA, which has been mentioned.

Mine is due to coronary vasospasms, vasospastic angina.

In my experience a lower heart rate isn't usually associated with microvascular dysfunction or vasospastic angina.

[Clarkee73 in reply to Milkfairy]

Thanks for the update and yes I'm taking bisoprolol at present and just returned a 7 day holter monitor which only picked on some ectopic beats from the lower chamber but not in any high percentage to be of concern. I spoke with heart nurse on email today and believe it's down to a viral infection may of been carrying

[Milkfairy Heart Star in reply to Clarkee73]

I wish you a speedy recovery.

[Survivor1952]

My 4 week average RHR is 53. PCI just over 20 weeks ago, then AVR, 1 x CABG 17 weeks ago. Doctor not concerned at all even though some days RHR is down in the 40's. Bisoprolol will depress HR, I'm on 1.25mg and hospital said I should expect the dose to increase over time, GP has said it won't due to where my HR sits.

The important thing is that we are all different and your doctor is the person to talk to and listen to. No one on the internet is qualified to give you on line advice.